ALAA SAKALLAH
NPI 1104662691
Psychologist - Clinical in Coon Rapids, MN

Q: What is Alaa Sakallah's NPI number?

The NPI number for Alaa Sakallah is 1104662691. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Alaa Sakallah's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Alaa Sakallah was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2024PECOS Enrolled

3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 427-8320 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Jul 3, 2024 (2 updates tracked since 2024).

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About Alaa Sakallah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAA SAKALLAH (NPI 1104662691) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (LP7069) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Golden Valley.

NPPES Registry Identity

NPI1104662691

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALAA SAKALLAH

Location Address3833 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2643

Mailing Address3833 Coon Rapids Blvd Nw Ste 100Coon Rapids, MN 55433-2697 · (763) 427-8320 · Fax (763) 302-4338

Phone(763) 427-8320

Sole ProprietorYes

Enumeration DateJuly 3, 2024

Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1104662691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP7069

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License LP7069 (MN)

3833 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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Secondary Practice Location 1

Location 14225 Golden Valley RdGolden Valley, MN 55422-4215 · Phone (763) 588-0661

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alaa Sakallah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alaa Sakallah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minneapolis Clinic Of Neurology, Ltd

13 mi

Neurology

4225 GOLDEN VALLEY RD
Golden Valley, MN 55422

Reassigned Medicare billing, Minnesota enrollment
80 clinicians in this Medicare group

NPI 1992739247 (763) 588-0661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE ELIZABETH TALBOT LORENTZ

Counselor (Mental Health)

3833 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 767-3350

DR. ALLAN PHILLIP INGENITO M.D.

Psychiatry & Neurology (Neurology)

3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433

Anoka County (763) 427-8320

MRS. CHRISTINE ZWICKY PA-C

Physician Assistant

3833 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

Anoka County (763) 427-8320

INFINITE HEALTH COLLABORATIVE, PA

Durable Medical Equipment & Medical Supplies

3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433

Anoka County (763) 712-5500

DR. MOEEN AHMAD MASOOD M.B., B.S.

Psychiatry & Neurology (Neurology)

3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433

Anoka County (763) 427-8320

TANYA MARIE SVENDDAL M.A LADC

Counselor (Mental Health)

3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433

Anoka County (763) 767-3350

MRS. ALICE I CONGDON L.P.C.C.

Counselor (Professional)

3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433

Anoka County (763) 767-3350

DR. ELIAS BAZAKOS M.D.

Psychiatry & Neurology (Neurology)

3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433

Anoka County (763) 427-8320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alaa Sakallah's NPI number?

The NPI number for Alaa Sakallah is 1104662691. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Alaa Sakallah located?

Alaa Sakallah practices at 3833 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 427-8320.

What is Alaa Sakallah's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alaa Sakallah enrolled in Medicare?

Yes. Alaa Sakallah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alaa Sakallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alaa Sakallah reassigns Medicare benefits to Minneapolis Clinic Of Neurology, Ltd (Golden Valley, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alaa Sakallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alaa Sakallah was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.